Full
Outline
To evaluate the clinical application of Xiaozhong Zhitong Decoction（消肿止痛汤）combined with crude fire needle cauterization in the treatment of perineal abscess in diabetes.
Eighty patients with perineal abscess of diabetes who were definitely diagnosed and systematically treated in the hospital were selected，all of whom met the criteria for inclusion. The data of the patients was collected，with an equal proportion grouping structure，to randomly touch the white and black balls to determine the grouping，a total of two groups. The control group（40 cases）received systemic antibiotics and local sitz baths. The observation group（40 cases）was treated with Xiaozhong Zhitong Decoction fumigation and sitz bath combined with coarse fire needle cauterization. All patients received continuous intervention for 2 weeks as a course of treatment. After all treatment courses were completed to evaluate the clinical efficacy. The inflammatory factor indicators before and after treatment，including C-reactive protein（CRP），interleukin-6（IL-6）and tumor necrosis factorα（TNF-α），visual analog scale（VAS）and quality of life were compared.
The total effective population in the control group accounted for 85.00%（34/40）and that in the observation group accounted for 97.50%（39/40），and the difference was statistically significant（P<0.05）. Serum inflammatory factor indicators（CRP，IL-6，TNF-α）in the observation group after 2 weeks of treatment were lower than those in the control group，and the difference was statistically significant（P<0.05）. The VASscore of the observation group was lower than that of the control group after 3 days of treatment，1 and 2 weeks of treatment，with a statistically significant difference（P<0.05）. After 2 weeks of treatment，the observation group showed better health perception，lifestyle，emotional control，daily living ability，interpersonal relationships and social activities than the control group，with statistically significant differences（P<0.05）.
Xiaozhong Zhitong Decoction combined with coarse fire needle cauterization can improve the efficacy of perineal abscess in diabetes，continuously relieve pain，inhibit inflammation and improve quality of life.
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| 科 Family | 属数 Number of genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) | 属 Genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) |
|---|---|---|---|---|---|---|
| 鹅膏菌科Amanitaceae | 2 | 11 | 5.26 | 鹅膏菌属 Amanita | 10 | 4.78 |
| 小菇科 Mycenaceae | 2 | 12 | 5.74 | 丝盖伞属 Inocybe | 5 | 2.39 |
| 多孔菌科 Polyporaceae | 8 | 14 | 6.70 | 蜡蘑属 Laccaria | 5 | 2.39 |
| 红菇科 Russulaceae | 3 | 23 | 11.00 | 小皮伞属 Marasmius | 6 | 2.87 |
| 小菇属 Mycena | 11 | 5.26 | ||||
| 光柄菇属 Pluteus | 5 | 2.39 | ||||
| 红菇属 Russula | 17 | 8.13 | ||||
| 栓菌属 Trametes | 5 | 2.39 |
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